Individual
CATHI ELLEN FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 SAINT CHARLES AVE, NEW ORLEANS, LA 70115-4637
(504) 412-1366
Mailing address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(504) 412-1814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017674
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374555
—
LA
Enumeration date
07/24/2006
Last updated
12/10/2020
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